Federal Register / Vol. 88, No. 235 / Friday, December 8, 2023 / Notices 85623 

FOR FURTHER INFORMATION CONTACT: 

William Parham at (410) 786–4669. 

SUPPLEMENTARY INFORMATION: Under the 

Paperwork Reduction Act of 1995 (PRA) 

(44 U.S.C. 3501–3520), Federal agencies 

must obtain approval from the Office of 

Management and Budget (OMB) for each 

collection of information they conduct 

or sponsor. The term ‘‘collection of 

information’’ is defined in 44 U.S.C. 

3502(3) and 5 CFR 1320.3(c) and 

includes agency requests or 

requirements that members of the public 

submit reports, keep records, or provide 

information to a third party. Section 

3506(c)(2)(A) of the PRA (44 U.S.C. 

3506(c)(2)(A)) requires Federal agencies 

to publish a 30-day notice in the 

Federal Register concerning each 

proposed collection of information, 

including each proposed extension or 

reinstatement of an existing collection 

of information, before submitting the 

collection to OMB for approval. To 

comply with this requirement, CMS is 

publishing this notice that summarizes 

the following proposed collection(s) of 

information for public comment: 

1. Type of Information Collection 

Request: Reinstatement with change of 

the previously approved collection; 

Title of Information Collection: 

Medicare Advantage and Prescription 

Drug Programs: Part C and Part D 

Explanation of Benefits; Use: Sections 

1852(k)(2)(C)(i) and 1860D–(4)(a)(4) of 

the Act give CMS authority to require 

EOBs in MA and Part D, respectively. 

Corresponding MA and Part D 

regulations at 42 CFR 422.111(k) and 

423.128(e) further specify the 

requirements to provide a written EOB 

directly to enrollees following their use 

of benefits. 

These requirements and the CMS 

model documents help ensure that MA 

and Part D enrollees receive consistent 

and timely information about costs 

associated with their medical claims. 

Part C and Part D EOBs allow enrollees 

to track their out-of-pocket expenses 

and benefit utilization in relation to 

their plan’s deductible and out-ofpocket threshold. This customized 

information positions enrollees to make 

informed decisions about their 

healthcare options. It also enables them 

to make a more practical use of the 

information found in plans’ Annual 

Notice of Change and Evidence of 

Coverage documents, as well as 

information available through tools such 

as the Medicare Plan Finder. 

MAOs and Part D sponsors use the 

model documents attached to this 

information collection to set up the EOB 

templates in their systems and ensure 

that EOBs conform with the 

requirements at 42 CFR 422.111(k) and 

423.128(e). MAOs and Part D sponsors 

populate EOBs to reflect individual 

enrollee benefits under the plan. CMS 

issues model EOBs annually through the 

Health Plan Management System 

(HPMS). Form Number: CMS–10453 

(OMB control number: 0938–1228); 

Frequency: Monthly; Affected Public: 

Private Sector, Business or other forprofits and Not-for-profit institutions; 

Number of Respondents: 1,065; Total 

Annual Responses: 1,065; Total Annual 

Hours: 10,650. (For policy questions 

regarding this collection contact Valerie 

Yingling at 667–290–8657.) 

2. Type of Information Collection 

Request: Extension of a currently 

collection; Title of Information 

Collection: Establishment of Exchanges 

and Qualified Health Plans; Exchange 

Standards for Employers; Use: Section 

1321(a) requires HHS to issue 

regulations setting standards for meeting 

the requirements under title I of the 

Affordable Care Act including the 

offering of Qualified Health Plans 

(QHPs) through the Exchanges. On 

March 27, 2012, HHS published the rule 

CMS–9989–F: Establishment of 

Exchanges and Qualified Health Plans; 

Exchange Standards for Employers. The 

Exchange rule contains provisions that 

mandate reporting and data collections 

necessary to ensure that health 

insurance issuers are meeting the 

requirements of the Affordable Care Act. 

These information collection 

requirements are set forth in 45 CFR 

part 156. The reporting requirements 

and data collection in the Exchange rule 

address minimum requirements that 

health insurance issuers must meet in 

order to comply with provisions in the 

Affordable Care Act with respect to 

participation in a State-based or the 

federally-facilitated Exchange (FFE). 

Information collected by the 

Exchanges or Medicaid and CHIP 

agencies will be used to determine 

eligibility for coverage through the 

Exchange and insurance affordability 

programs (i.e., Medicaid, CHIP, and 

advance payment of the premium tax 

credits); evaluate how CMS can best 

communicate eligibility and enrollment 

updates to issuers; and assist consumers 

in enrolling in a QHP if eligible. 

Applicants include anyone who may be 

eligible for coverage through any of 

these programs. Form Number: CMS– 

10592 (OMB control number: 0938– 

1341); Frequency: Annually; Affected 

Public: Private Sector: Business or other 

for-profits; Number of Respondents: 

302; Number of Responses: 302; Total 

Annual Hours: 148,584. (For policy 

questions regarding this collection, 

contact Anne Pesto at 410–786–3492.) 

Dated: December 5, 2023. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2023–27033 Filed 12–7–23; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10387] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, Health and Human 

Services (HHS). 

ACTION: Notice. 

SUMMARY: The Centers for Medicare & 

Medicaid Services (CMS) is announcing 

an opportunity for the public to 

comment on CMS’ intention to collect 

information from the public. Under the 

Paperwork Reduction Act of 1995 

(PRA), federal agencies are required to 

publish notice in the Federal Register 

concerning each proposed collection of 

information (including each proposed 

extension or reinstatement of an existing 

collection of information) and to allow 

60 days for public comment on the 

proposed action. Interested persons are 

invited to send comments regarding our 

burden estimates or any other aspect of 

this collection of information, including 

the necessity and utility of the proposed 

information collection for the proper 

performance of the agency’s functions, 

the accuracy of the estimated burden, 

ways to enhance the quality, utility, and 

clarity of the information to be 

collected, and the use of automated 

collection techniques or other forms of 

information technology to minimize the 

information collection burden. 

DATES: Comments must be received by 

February 6, 2024. 

ADDRESSES: When commenting, please 

reference the document identifier or 

OMB control number. To be assured 

consideration, comments and 

recommendations must be submitted in 

any one of the following ways: 

1. Electronically. You may send your 

comments electronically to http://

www.regulations.gov. Follow the 

instructions for ‘‘Comment or 

Submission’’ or ‘‘More Search Options’’ 

to find the information collection 

document(s) that are accepting 

comments. 


khammond on DSKJM1Z7X2PROD with NOTICES
85624 Federal Register / Vol. 88, No. 235 / Friday, December 8, 2023 / Notices 

2. By regular mail. You may mail 

written comments to the following 

address: CMS, Office of Strategic 

Operations and Regulatory Affairs, 

Division of Regulations Development, 

Attention: Document Identifier/OMB 

Control Number: ll, Room C4–26–05, 

7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

To obtain copies of a supporting 

statement and any related forms for the 

proposed collection(s) summarized in 

this notice, please access the CMS PRA 

website by copying and pasting the 

following web address into your web 

browser: https://www.cms.gov/ 

Regulations-and-Guidance/Legislation/ 

PaperworkReductionActof1995/PRAListing. 

FOR FURTHER INFORMATION CONTACT: 

William N. Parham at (410) 786–4669. 

SUPPLEMENTARY INFORMATION: 

Contents 

This notice sets out a summary of the 

use and burden associated with the 

following information collections. More 

detailed information can be found in 

each collection’s supporting statement 

and associated materials (see 

ADDRESSES). 

CMS–10387—Minimum Data Set 3.0 

Nursing Home and Swing Bed 

Prospective Payment System (PPS) 

For the collection of data related to 

the Patient Driven Payment Model 

and the Skilled Nursing Facility 

Quality Reporting Program (QRP) 

Under the PRA (44 U.S.C. 3501– 

3520), federal agencies must obtain 

approval from the Office of Management 

and Budget (OMB) for each collection of 

information they conduct or sponsor. 

The term ‘‘collection of information’’ is 

defined in 44 U.S.C. 3502(3) and 5 CFR 

1320.3(c) and includes agency requests 

or requirements that members of the 

public submit reports, keep records, or 

provide information to a third party. 

Section 3506(c)(2)(A) of the PRA 

requires federal agencies to publish a 

60-day notice in the Federal Register 

concerning each proposed collection of 

information, including each proposed 

extension or reinstatement of an existing 

collection of information, before 

submitting the collection to OMB for 

approval. To comply with this 

requirement, CMS is publishing this 

notice. 

Information Collection 

1. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Minimum Data 

Set 3.0 Nursing Home and Swing Bed 

Prospective Payment System (PPS) For 

the collection of data related to the 

Patient Driven Payment Model and the 

Skilled Nursing Facility Quality 

Reporting Program (QRP); Use: We are 

requesting to implement the MDS 3.0 

v1.19.1 beginning October 1, 2024 in 

order to meet the requirements of 

policies finalized in the Federal Fiscal 

Year (FY) 2024 Skilled Nursing Facility 

(SNF) Prospective Payment System 

(PPS) final rule (CMS–1779–F, RIN 

0938–AV02). Specifically, CMS adopted 

two new measures and removed three 

measures from the SNF QRP. As a result 

of these changes, the total annual hour 

burden across facilities has decreased, 

and the annual cost burden across 

facilities has decreased. Form Number: 

CMS–10387 (OMB control number: 

0938–1140); Frequency: Yearly; Affected 

Public: Private Sector: Business or other 

for-profit and not-for-profit institutions; 

Number of Respondents: 15,471; Total 

Annual Responses: 3,469,183; Total 

Annual Hours: 2,861,351. (For policy 

questions regarding this collection 

contact Heidi Magladry at 410–786– 

6034). 

Dated: December 4, 2023. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2023–26927 Filed 12–7–23; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10219 and CMS– 

10593] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, Health and Human 

Services (HHS). 

ACTION: Notice. 

SUMMARY: The Centers for Medicare & 

Medicaid Services (CMS) is announcing 

an opportunity for the public to 

comment on CMS’ intention to collect 

information from the public. Under the 

Paperwork Reduction Act of 1995 

(PRA), federal agencies are required to 

publish notice in the Federal Register 

concerning each proposed collection of 

information (including each proposed 

extension or reinstatement of an existing 

collection of information) and to allow 

60 days for public comment on the 

proposed action. Interested persons are 

invited to send comments regarding our 

burden estimates or any other aspect of 

this collection of information, including 

the necessity and utility of the proposed 

information collection for the proper 

performance of the agency’s functions, 

the accuracy of the estimated burden, 

ways to enhance the quality, utility, and 

clarity of the information to be 

collected, and the use of automated 

collection techniques or other forms of 

information technology to minimize the 

information collection burden. 

DATES: Comments must be received by 

February 6, 2024. 

ADDRESSES: When commenting, please 

reference the document identifier or 

OMB control number. To be assured 

consideration, comments and 

recommendations must be submitted in 

any one of the following ways: 

1. Electronically. You may send your 

comments electronically to http://

www.regulations.gov. Follow the 

instructions for ‘‘Comment or 

Submission’’ or ‘‘More Search Options’’ 

to find the information collection 

document(s) that are accepting 

comments. 

2. By regular mail. You may mail 

written comments to the following 

address: CMS, Office of Strategic 

Operations and Regulatory Affairs, 

Division of Regulations Development, 

Attention: Document Identifier/OMB 

Control Number: __, Room C4–26–05, 

7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

To obtain copies of a supporting 

statement and any related forms for the 

proposed collection(s) summarized in 

this notice, please access the CMS PRA 

website by copying and pasting the 

following web address into your web 

browser: https://www.cms.gov/ 

Regulations-and-Guidance/Legislation/ 

PaperworkReductionActof1995/PRAListing. 

FOR FURTHER INFORMATION CONTACT: 

William N. Parham at (410) 786–4669. 

SUPPLEMENTARY INFORMATION: 

Contents 

This notice sets out a summary of the 

use and burden associated with the 

following information collections. More 

detailed information can be found in 

each collection’s supporting statement 

and associated materials (see 

ADDRESSES). 

CMS–10219 HEDIS Data Collection for 

Medicare Advantage 

CMS–10593 Establishment of an 

Exchange by a State and Qualified 

Health Plans 

Under the PRA (44 U.S.C. 3501– 

3520), federal agencies must obtain 

approval from the Office of Management 


khammond on DSKJM1Z7X2PROD with NOTICES